Individual provider Active NPI

Abigail Grace Johnston, DPT

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1235779067
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16786 Issued in CO
Practice address
24951 E US Highway 50
Pueblo, CO 81006-2027
Phone
(719) 542-0220
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16786 CO Primary

Addresses

Primary practice location

24951 E US Highway 50
Pueblo, CO 81006-2027

Mailing address

24951 E US Highway 50
Pueblo, CO 81006-2027
Phone (719) 542-0220

Other practice location 1

21 Montebello Rd
Pueblo, CO 81001-1236
Phone (719) 546-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16786COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Total Rehabilitation Physical Therapist CurrentSince Aug 3, 2020 Accepting new patients
Institute for Total Rehabilitation CurrentSince Oct 16, 2022 Accepting new patients

Locations

21 Montebello Rd
Pueblo, CO 81001
Phone (719) 546-0037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1235779067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24951 E US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810062027",
            "telephone_number": "719-542-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24951 E US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810062027",
            "telephone_number": "719-542-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Montebello Rd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810011236",
            "country_code": "US",
            "telephone_number": "719-546-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ABIGAIL",
        "middle_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "16786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.